| Adams County Hospital 2 | |
|
903 S Adams St Ritzville WA 99169-2227 | |
| (509) 659-5402 | |
| (509) 659-1252 |
| Full Name | Adams County Hospital 2 |
|---|---|
| Speciality | Clinic/Center |
| Location | 903 S Adams St, Ritzville, Washington |
| Authorized Official Name and Position | Tamra Combs (CREDENTALING) |
| Authorized Official Contact | 5096591200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adams County Hospital 2 903 S Adams St Ritzville WA 99169-2227 Ph: (509) 659-5402 | Adams County Hospital 2 903 S Adams St Ritzville WA 99169-2227 Ph: (509) 659-5402 |
| NPI Number | 1659387041 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 01/23/2024 |
| Medicare PECOS PAC ID | 8022906122 |
|---|---|
| Medicare Enrollment ID | O20040309001448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659387041 | NPI | - | NPPES |
| 8157364 | Medicaid | WA | |
| 7105489 | Medicaid | WA | |
| 7144503 | Medicaid | WA | |
| 0050906 | Other | WA | WA L&I |
| 0148592 | Other | WA | WA L&I |
| 0156841 | Other | WA | WA L&I |
| 8119547 | Medicaid | WA | |
| 0203688 | Other | WA | WA L&I |
| 0051688 | Other | WA | WA L&I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Austin M Miner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134423361 PECOS PAC ID: 3870735053 Enrollment ID: I20140422001665 |
| Provider Name | Lexie L Zuver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417395625 PECOS PAC ID: 1153619556 Enrollment ID: I20161018002651 |
| Provider Name | Richard A Eck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801282561 PECOS PAC ID: 1658688627 Enrollment ID: I20171027001504 |
| Provider Name | Catherine Elisabeth Clift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831654524 PECOS PAC ID: 6103167366 Enrollment ID: I20190416002453 |
| Provider Name | Mick A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487295531 PECOS PAC ID: 3274967799 Enrollment ID: I20191216002282 |
| Provider Name | Kami Nicole Veltri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962022087 PECOS PAC ID: 0941608756 Enrollment ID: I20211008001276 |
| Provider Name | Sarah K Fatool |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821582313 PECOS PAC ID: 1456600170 Enrollment ID: I20220428001924 |
| Provider Name | Tonya Denise Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285034629 PECOS PAC ID: 0244452829 Enrollment ID: I20220502001925 |
| Provider Name | Abby Horak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568179620 PECOS PAC ID: 0648642868 Enrollment ID: I20230215002375 |
| Provider Name | Kerri Ruddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174183578 PECOS PAC ID: 6608103254 Enrollment ID: I20240115001769 |
| Provider Name | Naomi Swain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760058275 PECOS PAC ID: 7012312770 Enrollment ID: I20240701003719 |
| Provider Name | Trent Colin Blackwill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922534056 PECOS PAC ID: 0042580193 Enrollment ID: I20240808003365 |
| Provider Name | Mary Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639263650 PECOS PAC ID: 7810922093 Enrollment ID: I20240910001936 |
| Provider Name | Tyler Ray Smathers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205346590 PECOS PAC ID: 7315474723 Enrollment ID: I20241226000488 |
Hometown Family Medicine Ps Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 W Main Ave, Ritzville, WA 99169 Phone: 509-659-4800 Fax: 509-659-4801 |